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[Ileus after appendicitis in children].

B Geryk1, V Pohl, P Vrsanský

  • 1Klinika pediatrickej chirurgie DFN, Bratislava.

Rozhledy V Chirurgii : Mesicnik Ceskoslovenske Chirurgicke Spolecnosti
|August 1, 1990
PubMed
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Ileus, a complication of appendicitis in children, often results from intraabdominal adhesions after appendectomy. Early appendicitis diagnosis and treatment are crucial, as prophylaxis for post-appendectomy ileus is uncertain.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery
  • Surgical Complications

Context:

  • Ileus is a frequent complication following appendicitis in children.
  • This study analyzes 41 pediatric cases of ileus occurring 3 days to 8 years post-appendectomy.
  • Intraabdominal adhesions were the primary cause identified during surgery.

Purpose:

  • To analyze the incidence, causes, and outcomes of ileus in children after appendectomy.
  • To evaluate the effectiveness of conservative versus surgical management for post-appendectomy ileus.
  • To provide insights into the prevention and management of this complication.

Summary:

  • Of 41 children with post-appendectomy ileus, 8 were treated conservatively, while 33 required surgery.
  • Surgical findings included intraabdominal adhesions (23 cases), bands (3 cases), and abscesses with adhesions (7 cases).

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  • Two children needed re-operation for recurrent ileus; no fatalities occurred.

    • Impact:

    • Highlights the significant role of intraabdominal adhesions in pediatric post-appendectomy ileus.
    • Underscores the limitations of prophylactic measures for ileus.
    • Emphasizes the importance of timely appendicitis diagnosis and surgical intervention while cautioning against unnecessary appendectomies.